| Tara Shanti Kane, PNP | |
|
1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | |
| (619) 398-0355 | |
| (619) 398-0350 |
| Full Name | Tara Shanti Kane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 1260 Morena Blvd Ste 100, San Diego, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982885414 | NPI | - | NPPES |
| 39062A | Other | NY | EMPLOYER MEDICARE NUMBER |
| 00618162 | Other | NY | EMPLOYER MEDICAID NUMBER |
| 911020106 | Medicaid | WA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Broadlawns Medical Center | 3678466166 | 257 |
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Evizzit Of Iowa Psychiatry Pc | 2860825924 | 38 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Evizzit Of Iowa Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740841188 PECOS PAC ID: 2860825924 Enrollment ID: O20191203001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Shanti Kane, PNP 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 Ph: (619) 398-0355 | Tara Shanti Kane, PNP 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 Ph: (619) 398-0355 |
Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910 | |
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360 | |
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798 | |
Amy M Sorgent, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262 | |
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733 | |
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637 |